Harris, Philip
Harris, Philip is an sole proprietor health care provider with primary practice located at 1 Brookdale Plz Room 344 Chc, Brooklyn NY 11212-3139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Harris, Philip can be contacted via phone (718) 240-5126.Contact Information
Primary practice address
1 Brookdale Plz Room 344 Chc
Brooklyn NY 11212-3139
Phone: (718) 240-5126
Fax: (718) 240-6550
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 171448 | New York |
Profile Details
NPI number | 1518954262 |
---|---|
LBN Legal business name | Harris, Philip |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 28th, 2005 |
Last updated | Feb 6th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518954262 | NPPES |
New York | MEDICAID | 01252886 | |
New York | Other | 06575G |
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